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Fluctuations in consciousness

MedGen UID:
377558
Concept ID:
C1851959
Finding
HPO: HP:0007159

Definition

Changes in one's level of awareness and responsiveness to their environment. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVFluctuations in consciousness

Conditions with this feature

Lewy body dementia
MedGen UID:
199874
Concept ID:
C0752347
Disease or Syndrome
Dementia with Lewy bodies (DLB) is a neurodegenerative disorder clinically characterized by dementia and parkinsonism, often with fluctuating cognitive function, visual hallucinations, falls, syncopal episodes, and sensitivity to neuroleptic medication. Pathologically, Lewy bodies are present in a pattern more widespread than usually observed in Parkinson disease (see PD; 168600). Alzheimer disease (AD; 104300)-associated pathology and spongiform changes may also be seen (McKeith et al., 1996; Mizutani, 2000; McKeith et al., 2005).

Professional guidelines

PubMed

Vreeswijk R, Maier AB, Kalisvaart KJ
Aging Clin Exp Res 2022 Dec;34(12):2927-2944. Epub 2022 Sep 22 doi: 10.1007/s40520-022-02249-y. PMID: 36131074
Sherer M, Katz DI, Bodien YG, Arciniegas DB, Block C, Blum S, Doiron M, Frey K, Giacino JT, Graf MJP, Greenwald B, Hammond FM, Kalmar K, Kean J, Kraus MF, Nakase-Richardson R, Pavawalla S, Rosenbaum A, Stuss DT, Yablon SA
Arch Phys Med Rehabil 2020 Nov;101(11):2041-2050. Epub 2020 Jul 29 doi: 10.1016/j.apmr.2020.06.021. PMID: 32738198
Mainerova B, Prasko J, Latalova K, Axmann K, Cerna M, Horacek R, Bradacova R
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2015 Mar;159(1):44-52. Epub 2013 Dec 11 doi: 10.5507/bp.2013.089. PMID: 24399242

Recent clinical studies

Etiology

Kumar R
F1000Res 2020;9 Epub 2020 Jan 29 doi: 10.12688/f1000research.20634.1. PMID: 32047620Free PMC Article
Shannon S, Lewis N, Lee H, Hughes S
Perm J 2019;23:18-041. doi: 10.7812/TPP/18-041. PMID: 30624194Free PMC Article
Bergeron N, Dubois MJ, Dumont M, Dial S, Skrobik Y
Intensive Care Med 2001 May;27(5):859-64. doi: 10.1007/s001340100909. PMID: 11430542
Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI
Ann Intern Med 1990 Dec 15;113(12):941-8. doi: 10.7326/0003-4819-113-12-941. PMID: 2240918
Tohgi H
Tohoku J Exp Med 1990 Aug;161 Suppl:39-47. doi: 10.1620/tjem.161.supplement_39. PMID: 2082504

Diagnosis

Wilbur J
FP Essent 2023 Nov;534:7-11. PMID: 37976169
Kumar R
F1000Res 2020;9 Epub 2020 Jan 29 doi: 10.12688/f1000research.20634.1. PMID: 32047620Free PMC Article
Bergeron N, Dubois MJ, Dumont M, Dial S, Skrobik Y
Intensive Care Med 2001 May;27(5):859-64. doi: 10.1007/s001340100909. PMID: 11430542
Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI
Ann Intern Med 1990 Dec 15;113(12):941-8. doi: 10.7326/0003-4819-113-12-941. PMID: 2240918
Tohgi H
Tohoku J Exp Med 1990 Aug;161 Suppl:39-47. doi: 10.1620/tjem.161.supplement_39. PMID: 2082504

Therapy

Liang Z, Tang B, Chang Y, Wang J, Li D, Li X, Wei C
Anesthesiology 2024 May 1;140(5):935-949. doi: 10.1097/ALN.0000000000004896. PMID: 38157438
Shannon S, Lewis N, Lee H, Hughes S
Perm J 2019;23:18-041. doi: 10.7812/TPP/18-041. PMID: 30624194Free PMC Article
Martin JJ
Front Neurol Neurosci 2012;30:46-9. Epub 2012 Feb 14 doi: 10.1159/000333405. PMID: 22377861
Stiefel D, Petzold A
Neurocrit Care 2007;6(1):67-71. doi: 10.1385/NCC:6:1:67. PMID: 17356195
Ely EW, Truman B, Shintani A, Thomason JW, Wheeler AP, Gordon S, Francis J, Speroff T, Gautam S, Margolin R, Sessler CN, Dittus RS, Bernard GR
JAMA 2003 Jun 11;289(22):2983-91. doi: 10.1001/jama.289.22.2983. PMID: 12799407

Prognosis

Liang Z, Tang B, Chang Y, Wang J, Li D, Li X, Wei C
Anesthesiology 2024 May 1;140(5):935-949. doi: 10.1097/ALN.0000000000004896. PMID: 38157438
Wilbur J
FP Essent 2023 Nov;534:7-11. PMID: 37976169
Bergeron N, Dubois MJ, Dumont M, Dial S, Skrobik Y
Intensive Care Med 2001 May;27(5):859-64. doi: 10.1007/s001340100909. PMID: 11430542
Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI
Ann Intern Med 1990 Dec 15;113(12):941-8. doi: 10.7326/0003-4819-113-12-941. PMID: 2240918
Tohgi H
Tohoku J Exp Med 1990 Aug;161 Suppl:39-47. doi: 10.1620/tjem.161.supplement_39. PMID: 2082504

Clinical prediction guides

Shannon S, Lewis N, Lee H, Hughes S
Perm J 2019;23:18-041. doi: 10.7812/TPP/18-041. PMID: 30624194Free PMC Article
Ely EW, Truman B, Shintani A, Thomason JW, Wheeler AP, Gordon S, Francis J, Speroff T, Gautam S, Margolin R, Sessler CN, Dittus RS, Bernard GR
JAMA 2003 Jun 11;289(22):2983-91. doi: 10.1001/jama.289.22.2983. PMID: 12799407
Bergeron N, Dubois MJ, Dumont M, Dial S, Skrobik Y
Intensive Care Med 2001 May;27(5):859-64. doi: 10.1007/s001340100909. PMID: 11430542
Inouye SK, van Dyck CH, Alessi CA, Balkin S, Siegal AP, Horwitz RI
Ann Intern Med 1990 Dec 15;113(12):941-8. doi: 10.7326/0003-4819-113-12-941. PMID: 2240918
Tohgi H
Tohoku J Exp Med 1990 Aug;161 Suppl:39-47. doi: 10.1620/tjem.161.supplement_39. PMID: 2082504

Recent systematic reviews

Giussani G, Westenberg E, Garcia-Azorin D, Bianchi E, Yusof Khan AHK, Allegri RF, Atalar AÇ, Baykan B, Crivelli L, Fornari A, Frontera JA, Guekht A, Helbok R, Hoo FK, Kivipelto M, Leonardi M, Lopez Rocha AS, Mangialasche F, Marcassoli A, Özdag Acarli AN, Ozge A, Prasad K, Prasad M, Sviatskaia E, Thakur K, Vogrig A, Leone M, Winkler AS; Global COVID-19 Neuro Research Coalition
Neuroepidemiology 2024;58(2):120-133. Epub 2024 Jan 25 doi: 10.1159/000536352. PMID: 38272015
Papaconstantinou D, Frountzas M, Ruurda JP, Mantziari S, Tsilimigras DI, Koliakos N, Tsivgoulis G, Schizas D
Dis Esophagus 2023 Jul 27;36(8) doi: 10.1093/dote/doac103. PMID: 36655317
Zhang X, Lyu Y, Wang D
Minerva Anestesiol 2020 Aug;86(8):853-860. Epub 2020 May 22 doi: 10.23736/S0375-9393.20.14100-2. PMID: 32449338
Orena EF, King AB, Hughes CG
Minerva Anestesiol 2016 Jun;82(6):669-83. Epub 2016 Jan 28 PMID: 26822815
van Meenen LC, van Meenen DM, de Rooij SE, ter Riet G
J Am Geriatr Soc 2014 Dec;62(12):2383-90. doi: 10.1111/jgs.13138. PMID: 25516034

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